[1]支小建,余 海,王伟成,等.肌内效贴联合综合康复对脑卒中后肩手综合征的疗效观察[J].医学信息,2019,32(05):160-161164.[doi:10.3969/j.issn.1006-1959.2019.05.052]
 ZHI Xiao-Jian,YU Hai,WANG Wei-cheng,et al.Therapeutic Effect of Kinesio Taping Combined with Comprehensive Rehabilitation onShoulder-hand Syndrome after Stroke[J].Medical Information,2019,32(05):160-161164.[doi:10.3969/j.issn.1006-1959.2019.05.052]
点击复制

肌内效贴联合综合康复对脑卒中后肩手综合征的疗效观察()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年05期
页码:
160-161164
栏目:
中医中药
出版日期:
2019-03-01

文章信息/Info

Title:
Therapeutic Effect of Kinesio Taping Combined with Comprehensive Rehabilitation onShoulder-hand Syndrome after Stroke
文章编号:
1006-1959(2019)05-0160-03
作者:
支小建余 海王伟成郑绚午彭兴甫钟大勇
(成都市第五人民医院康复医学科,四川 成都 611130)
Author(s):
ZHI Xiao-JianYU HaiWANG Wei-chengZHENG Xuan-wuPENG Xing-fuZHONG Da-yong
(Department of Rehabilitation,Chengdu Fifth People’s Hospital,Chengdu 611130,Sichuan,China)
关键词:
肌内效帖综合康复肩手综合征脑卒中
Keywords:
Intramuscular effectComprehensive rehabilitationShoulder hand syndromeStroke
分类号:
R493;R743.3
DOI:
10.3969/j.issn.1006-1959.2019.05.052
文献标志码:
A
摘要:
目的 观察肌内效贴联合综合康复对脑卒中后肩手综合征的治疗效果。方法 将80例脑卒中后肩手综合征患者随机分为观察组和对照组,每组40例。对照组给予常规治疗及综合康复,观察组在对照组基础上给予肌内效贴治疗。治疗4周后,记录患者治疗前后疼痛评分(VAS)、手肿胀体积、上肢 Fugl-Meyer 运动功能评定量表(FMA)及Barthel得分情况。结果 治疗后观察组VAS评分低于对照组[(4.32±1.03)分 vs (5.78±0.91)分],手肿胀体积低于对照组[(141.68±9.27)ml vs (177.52±8.68)ml],Fugl-Meyer和Barthel指数评分均高于对照组[(21.42±2.18)分 vs (18.19±2.46)分,(63.89±6.98)分 vs (52.46±7.31)分],差异有统计学意义(P<0.05)。结论 肌内效贴联合综合康复在治疗脑卒中后肩手综合征中具有明显的镇痛作用,对浮肿、关节活动障碍的关节功能改善有较好疗效。
Abstract:
Objective To observe the therapeutic effect of intramuscular effect combined with comprehensive rehabilitation on shoulder-hand syndrome after stroke.Methods 80 patients with post-stroke shoulder-shoulder syndrome were randomly divided into observation group and control group, with 40 cases in each group. The control group received routine treatment and comprehensive rehabilitation, and the observation group was given intramuscular effect treatment on the basis of the control group. After 4 weeks of treatment, the patient’s pain score (VAS), hand swelling volume, upper limb Fugl-Meyer motor function rating scale (FMA) and Barthel score were recorded.Results After treatment, the VAS score of the observation group was lower than that of the control group [(4.32±1.03)scores vs. (5.78±0.91)scores], and the hand swelling volume was lower than that of the control group [(141.68±9.27)ml vs (177.52±8.68)ml].Fugl-Meyer and Barthel index scores were higher than those in the control group [(21.42±2.18)scores vs(18.19±2.46)scores,(63.89±6.98)scores vs(52.46±7.31)scores],the difference was statistically significant(P<0.05).Conclusion Intramuscular effect combined with comprehensive rehabilitation has obvious analgesic effect in the treatment of post-stroke shoulder-hand syndrome, and has a good effect on the improvement of joint function of edema and joint activity disorder.

参考文献/References:


[1]侯永辉,刘瑛,陈秀明,等.综合康复措施预防卒中后偏瘫性肩痛81例临床研究[J].河北中医,2014,3(1):31-32.
[2]陈文华.软组织贴扎技术临床应用精要[M].上海:浦江教育出版社,2012:85-86.
[3]王玉龙.康复评定技术[M].第2版.北京:人民卫生出版社,2014:104-105.
[4]Simsek TT,Turkucuoglu B,Cokal N,et al.The effects of Kinesio taping on sitting posture,functional independence and gross motor function in children with cerebral palsy[J].Disabil Rehabil,2011,33(21-22):2058-2063.
[5]秦宏,马丹.肌内效贴布治疗脑卒中后肩手综合征患者疼痛肿胀疗效观察[J].中国运动医学杂志,2014,33(12):1149-1152.
[6]Djordjevic OC,Vukicevic D,Katunac L,et al.Mobilization witn movement and kinesiotaping compared with a supervised exercise program for painful shoulder:results of a clinical trial[J].J Manipulative Physiol Ther,2012,35(6):454-463.
[7]杨雅致,朱毅.肌内效贴对脑卒中后上肢痉挛的疗效[J].中国康复理论与实践,2016(9):1045-1048.

更新日期/Last Update: 2019-03-01